Covered recipient · General Payments record
PERLA ELIZABETH RAMIREZ
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2023–2024
$1,563.94
- Reported across 98 records
- CMS publication 2026-01-23
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
- General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
- Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
- Methodology & Data — sourcing, labeling, and limitations.
By nature of payment
PY2024 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $431.31 | 27 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Amgen Inc. | $136.81 | 2 |
| Lilly USA, LLC | $136.20 | 21 |
| Novo Nordisk AS | $99.71 | 2 |
| ABIOMED | $29.73 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $28.86 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (27)
Sorted by paying entity, then date · as published by CMS
Program year 2024 2023
Record-level detail is published for PY2024; earlier years are summarised in
“By program year”.
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| ABIOMED | $29.73 | 06/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142311618 | CMS |
| Amgen Inc. | $18.41 | 03/21/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1117661959 | CMS |
| Amgen Inc. | $118.40 | 09/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1117661961 | CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $28.86 | 03/25/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1118060095 | CMS |
| Lilly USA, LLC | $1.20 | 02/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135878088 | CMS |
| Lilly USA, LLC | $10.08 | 02/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135943198 | CMS |
| Lilly USA, LLC | $10.22 | 02/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135898908 | CMS |
| Lilly USA, LLC | $1.43 | 02/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135898910 | CMS |
| Lilly USA, LLC | $4.22 | 03/02/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135854421 | CMS |
| Lilly USA, LLC | $15.04 | 03/02/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135912525 | CMS |
| Lilly USA, LLC | $5.28 | 03/21/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135912527 | CMS |
| Lilly USA, LLC | $3.66 | 03/21/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135920756 | CMS |
| Lilly USA, LLC | $0.98 | 03/21/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135921180 | CMS |
| Lilly USA, LLC | $9.58 | 04/16/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135898912 | CMS |
| Lilly USA, LLC | $6.35 | 05/05/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135913103 | CMS |
| Lilly USA, LLC | $4.87 | 05/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135943200 | CMS |
| Lilly USA, LLC | $23.14 | 08/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135913105 | CMS |
| Lilly USA, LLC | $10.74 | 10/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135913107 | CMS |
| Lilly USA, LLC | $0.69 | 10/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135898914 | CMS |
| Lilly USA, LLC | $1.02 | 10/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135921182 | CMS |
| Lilly USA, LLC | $4.96 | 10/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135925814 | CMS |
| Lilly USA, LLC | $5.36 | 11/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135913109 | CMS |
| Lilly USA, LLC | $4.98 | 11/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135921186 | CMS |
| Lilly USA, LLC | $5.76 | 11/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135925816 | CMS |
| Lilly USA, LLC | $6.64 | 11/15/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135921184 | CMS |
| Novo Nordisk Inc | $19.92 | 06/25/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100610606 | CMS |
| Novo Nordisk Inc | $79.79 | 07/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100601675 | CMS |
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-01-23
- Program years on this page
- 2023, 2024
- Source files
- Dataset page · Bulk file · PY2023 , PY2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.
Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.